ATI LPN
Assessment Nursing Questions Questions
Question 1 of 5
The nurse is performing mouth care for an unconscious patient. To prevent aspiration, the nurse should:
Correct Answer: B
Rationale: Side-lying prevents aspiration. Toothbrushes (A), no suction (C), or excess water (D) risks choking.
Question 2 of 5
A nurse is responsible for monitoring a patient's intake and output (I&O). Intake includes:
Correct Answer: B
Rationale: All fluid sources (oral, IV, tube) count as intake. Mouth-only (A), IV-only (C), or solids (D) misses data.
Question 3 of 5
When performing oral care for an unconscious patient, the nurse should:
Correct Answer: A
Rationale: Lateral prevents aspiration. Excess water (B), supine (C), or no cleaning (D) risks choking.
Question 4 of 5
To prevent cross-contamination in healthcare settings, the nurse should:
Correct Answer: A
Rationale: Gloves and handwashing prevent spread. Same gloves (B), less hygiene (C), or reuse (D) risks contamination.
Question 5 of 5
Adhesion formation is a normal physiologic inflammatory response to abdominal surgery that cannot be prevented or minimized.
Correct Answer: B
Rationale: Adhesions are normal but can be minimized with techniques like gentle handling and anti-adhesive barriers, contradicting the statement.